BUBBLE GUM KIDS DENTISTRY
NPI: 1225714157
· WARREN, MI 48092
· Pediatric Dentist
· NPI assigned 06/26/2023
Provider Details
| Authorized Official | PAUNDLAY, AMY (SR. VICE PRESIDENT OF OPERATIONS) |
| NPI Enumeration Date | 06/26/2023 |
Related Entities
Other providers sharing the same authorized official: PAUNDLAY, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
200 |
$6K |
| 2024 |
842 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
192 |
182 |
$9K |
| D1120 |
Prophylaxis - child |
171 |
163 |
$7K |
| D1206 |
Topical application of fluoride varnish |
192 |
182 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
169 |
157 |
$3K |
| D0272 |
Bitewings - two radiographic images |
79 |
78 |
$2K |
| D1351 |
Sealant - per tooth |
57 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
30 |
29 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
138 |
107 |
$1K |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$431.54 |